Mackenzie Corder, is a
Nurse Practitioner - Acute Care based in Rembert, South Carolina. Mackenzie Corder is licensed to practice in California (license number 95040451) and her current practice location is
723 Broken Bit Rd, Rembert, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(803) 486-9210.
NPI number for Mackenzie Corder is 1053230730 and her current mailing address is 723 Broken Bit Rd, Rembert, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053230730.
Provider's Profile
| Full Name | Mackenzie Corder |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Acute Care |
|---|
| Location | 723 Broken Bit Rd, Rembert, South Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053230730
- Provider Enumeration Date: 07/15/2026
- Last Update Date: 07/15/2026
Medical Identifiers
Medical identifiers for Mackenzie Corder such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1053230730 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LA2100X | Nurse Practitioner - Acute Care | 95040451 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mackenzie Corder is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mackenzie Corder, 723 Broken Bit Rd, Rembert, SC 29128-9628 Ph: Not Available | Mackenzie Corder, 723 Broken Bit Rd, Rembert, SC 29128-9628 Ph: (803) 486-9210 |
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